Prompt pay discount

When Prompt Pay Discounts Are OK (and When They’re Not)

As patients grow increasingly savvy about researching healthcare prices, they’re more likely to ask practices for discounts that apply to anything from office visits and radiology services to surgeries and dental procedures. As many practices are aware, not all discounts are created equal—some are legal, while others are not. Fortunately, prompt pay discounts are allowable […]
Medical records

4 Factors to Consider When Creating Medical Record Guidelines

Your medical records are potentially the most important documents that your practice maintains, so creating guidelines around how they’ll be created, stored and handled can help you remain compliant. To develop guidelines for your medical records, check out four essential steps that your practice can’t afford to ignore. 1. Your Medical Record Policy Should Be […]
Social determinants of health

Z59: Prepare for New SDOH ICD-10-CM Codes Before April 1

Your practice is finally getting the 2023 ICD-10-CM codes committed to memory and you’re settling into the latest CPT code updates—but hot on the heels of those changes comes a whole new crop of diagnosis codes, set to debut on April 1, 2023. Among the latest additions to ICD-10-CM are more than a dozen new […]
E/M codes

CMS: E/M Codes Linked to Over $1 Billion in Improper Payments

Every coder knows that although most providers perform evaluation and management (E/​M) services nearly every day, coding these visits aren’t necessarily straightforward. That fact is backed up by data in the latest CMS report, which notes that E/​M codes 99202-99215 were responsible for more than $1 billion in improper payments during the most recent 12-month […]
Provider enrollment and credentialing

3 Provider Enrollment Barriers and How to Overcome Them

One of the simplest and fastest ways to keep reimbursement flowing at your practice is to ensure your provider enrollment and credentialing processes never face any hiccups. After all, if you don’t get your providers enrolled and credentialed swiftly, they could be terminated from payer networks and dropped from hospital admitting rolls. Plus, you’ll be […]
Good faith estimates

Keep These Timelines in Mind for Your Good Faith Estimates

Creating compliant good faith estimates for self-pay and uninsured patients means more than just handing patients a form with a number on it. You must also master the timing of the estimates you distribute—and if you don’t, the government could fine your practice. Why? Because the estimate needs to give the patient enough time to […]
Telehealth regulations

HIPAA and Telehealth: Four Essential Ways to Stay Compliant

When the pandemic first began impacting U.S. medical practices in 2020, many providers scrambled to get their telehealth systems up and running to meet the telehealth regulations. Today it’s a completely different landscape, with telehealth one of the norms in modern practices and many organizations declaring that telehealth is here to stay. Even as these […]
Chronic pain management

G3002: Make the Chronic Pain Management Codes Work for You

Medical practices have become accustomed to hearing about cuts to Medicare pay every year, so it’s always good news when Medicare begins covering a new service. Such is the case this year, now that CMS has introduced two new Medicare-specific codes covering chronic pain management. Before you can start collecting for the newly-released chronic pain […]
Evaluation and management codes

See How Coding for 2 E/M Visits on 1 Day Dramatically Changed

It’s a question that has confounded coders and practice managers for years: What do you do if you see a patient in your office, then admit them to the hospital because the condition requires more acute attention? Reporting two evaluation and management codes representing the different sites of service has not been an option in […]
LEP patient

5 Tips to Create an Effective Translation Program for LEP Patients

Communication is one of the most critical elements of good patient care, and without it, your providers won’t know the patient’s history, current complaint, or even their name. That’s one reason the government requires practices to offer free written and verbal translation services to limited-English proficiency (LEP) patients. If you don’t have a plan in […]